Young, Andrew Ginn Bong

Young, Andrew Ginn Bong is an individual health care provider with primary practice located at 1 Hoppin St Ste 202 , Providence RI 02903-4141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Young, Andrew Ginn Bong can be contacted via phone (401) 444-6551.

Contact Information

Primary practice address
1 Hoppin St Ste 202 Providence RI 02903-4141
Phone: (401) 444-6551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD16400 Rhode Island
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD16400 Rhode Island

Profile Details

NPI number 1659310738
LBN Legal business name Young, Andrew Ginn Bong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659310738 NPPES
California MEDICAID 00A898610

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